Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $5,679.00 / $17,809.00	Facility		$927.00	$5,679.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,367.09	Facility		$67.90	$100.00	$5,367.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $888.30 / $2,226.34	Facility		$400.00	$888.30	$2,226.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $494.10 / $667.04	Professional		$139.24	$494.10	$667.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.76 / $535.67 / $879.00	Professional		$407.76	$535.67	$879.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,396.82 / $3,590.15 / $12,000.00	Facility		$2,396.82	$3,590.15	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.23 / $514.46 / $751.11	Facility		$342.23	$514.46	$751.11
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,786.00 / $9,072.00	Facility		$705.00	$3,786.00	$9,072.00